HCC Coding Analyst I

Job Description: This Position is an entry-level role in Risk Adjustment and will learn to demonstrate general proficiency in the areas of Risk Adjustment Coding for highly regulated government insurance programs such as Medicare Advantage (MA), Medicaid, and the Affordable Care Act (ACA). This analyst will audit approved clinical documentation post-visit to ensure accurate coding practices according to general and risk adjustment coding guidelines as established by the Centers for Medicare and Medicaid (CMS) and Health and Human Services (HHS). Continued employment is dependent on the candidate obtaining CRC Certification from AAPC within 1 year of hire. Job Essentials 1. Reviews clinical documentation to monitor coding practices and ensure accurate coding and reimbursement. Ensures review decisions are in line with Centers for Medicare and Medicaid (CMS) as well as internal department guidelines. 2. Supports higher level analysts in their responsibilities and research and all internal department functions and processes, as needed. 3. Maintains knowledge of coding workflow and use of available technology. 4. Documents chart review results in a Risk Adjustment database for reporting purposes. 5. Participates in governmental risk adjustment audits for CMS/HHS on a limited basis 6. Effectively manages workload and responsibilities. 7. Develops subject matter expertise. 8. Complies with HIPAA law to maintain data privacy and security. 9. Completes all continuing education requirements needed for certification earned on an ongoing basis. 10. Works with software programs (Microsoft Office products, coding programs, Electronic Medical Records (EMR)). 11. Maintains functional knowledge of general medical terminology, medical acronyms, anatomy and physiology. Minimum Qualifications National Professional Coding Certification from AHIMA or AAPC Some work or education experience in medical coding or healthcare Functional knowledge or medical terminology, acronyms, anatomy, and physiology Demonstrated basic-level experience with Microsoft Office products Demonstrated excellent written and verbal communication skills Completion of an internal CRC training and competency evaluation no later than one year of hire Certified Risk Adjustment Coder (CRC) through AAPC obtained within 1 year of hire Preferred Qualifications CRC certification already obtained ICD-CM diagnosis coding experience Physical Requirements To see the physical requirements needed to perform the essential functions of this job, please click here. Interact with others Operate computers and other equipment Read monitors and documents Remain sitting or standing for long periods of time Location: Employee Service Center Work City: Murray Work State: Utah Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $27.65 - $43.55 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice. Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400 clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here. Sign up for job alerts! Click ‘sign in’ at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details. Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match. Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100 learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor. All positions subject to close without notice. Thanks for your interest in continuing your career with our team!

Salary : $28 - $44